Refresher: Amendable Language

Is this sufficient amendable language?

• No

• Yes

What condition are we likely working up based on this amendable language?

• Heart Failure

• COPD

• Secondary Hyperparathryoidism

• Chronic Kidney Disease

Which of the following is NOT an example of sufficient amendable language?

• HTN: Discussed BNP of 55 from 1/1/25. Patient agreeable to ordering echo to r/o heart failure

• Elevated BNP: Discussed BNP of 40 from 1/1/25. Patient agreeable to ordering echo to r/o heart failure

• Renal insufficiency: Ordering BMP to recheck eGFR and r/o CKD

• HTN: Zio ordered

Is this sufficient amendable language?

• Yes

• No

Which of the following is a risk factor for CKD?

• Chest Pain

• Peripheral Vascular Disease

• 1 low eGFR on file

• Anemia

Is this sufficient amendable language?

• No

• Yes

What resource can you use to help you understand a provider's amendable language preferences?

• Provider coverage cheat sheets

• Canopy

• OSH Trunk

• Provider amendable language cheat sheets

Consider the following scenario: Care team sees a patient for a visit on 2/10/25. Care team orders BNP on 2/10/25. BNP returns 40. What is / are the appropriate next step(s)?

• Order zio

• Discuss further work up with echo at next visit

• Call patient to relay results and discuss ordering echo

• Reject suspect for HF since BNP < 50

Consider the following scenario: Care team orders a BNP on 2/10/25, BNP returns = 75. Care team orders echo and echo is completed on 3/10/25. Echo is abnormal and results are relayed to the patient telephonically. What is / are the appropriate next step(s)?

• Amend note since results were relayed to patient

• Order BNP

• Refer patient to hematology

• Discuss new dx at next visit

Is this an appropriate amendment?

• No, wrong evidence for condition listed

• No, missing amendment disclaimer

• Yes, amendment is appropriate

• Yes, evidence provided for condition